WILSON H. HARTZ, III, M.D., S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2011
|
363085627
|
2013-04-25
|
WILSON H. HARTZ, III, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3129515640
|
Plan sponsor’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363085627 |
Plan administrator’s name |
WILSON H. HARTZ, III, M.D., S.C. |
Plan administrator’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129515640 |
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-25 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILSON H. HARTZ, III, M.D., S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2010
|
363085627
|
2012-01-05
|
WILSON H. HARTZ, III, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3129515640
|
Plan sponsor’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363085627 |
Plan administrator’s name |
WILSON H. HARTZ, III, M.D., S.C. |
Plan administrator’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129515640 |
Signature of
Role |
Plan administrator |
Date |
2012-01-05 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-05 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILSON H. HARTZ, III, M.D., S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2009
|
363085627
|
2011-04-26
|
WILSON H. HARTZ, III, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3129515640
|
Plan sponsor’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363085627 |
Plan administrator’s name |
WILSON H. HARTZ, III, M.D., S.C. |
Plan administrator’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129515640 |
Signature of
Role |
Plan administrator |
Date |
2011-04-26 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-26 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILSON H. HARTZ, III, M.D., S.C. PENSION PLAN & TRUST
|
2009
|
363085627
|
2010-12-22
|
WILSON H. HARTZ, III, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3129515640
|
Plan sponsor’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363085627 |
Plan administrator’s name |
WILSON H. HARTZ, III, M.D., S.C. |
Plan administrator’s
address |
676 N. ST. CLAIRE, STE 1525, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129515640 |
Signature of
Role |
Plan administrator |
Date |
2010-12-22 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-22 |
Name of individual signing |
WILSON H. HARTZ, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|